,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #fadi  ,,in ,,the ,,house ,,of  
,,representatives  ,march #i1 #bjbj,mr4 
,cunningham introduced the following    
bill2 which was referred to the         
,committee on ,energy and ,commerce  ,a 
,,bill  ,to amend title ,,xix of the    
,social ,security ,act to enhance       
reporting requirements for nonexpansion 
,states1 and for other purposes4  #a4   
,short title ,this ,act may be cited as 
the ,medicaid ,report on ,expansion of  
,access to ,coverage for ,health ,act or
 ,medicaid ,,reach ,act4  #b4 ,enhanced 
reporting requirements for nonexpansion 
,states ,section #aijc of the ,social   
,security ,act 7#db ,u4,s4,c4 #acif;b7  
is amended-- 7#a7 in subsection 7a77#g71
 by inserting subsection 7bb7 and before
 section #aiai7;g77#c77;,b72 and  7#b7  
by adding at the end the following new  
subsection3  7bb7 ,reduction of ,federal
 payments for certain administrative    
costs of nonexpansion ,states that do   
not satisfy reporting requirements  7#a7

 ,in general  7,a7 ,reduction ,in the   
case of a nonexpansion ,state1 with     
respect to a fiscal year 7beginning with
 fiscal year #bjbb7 that does not       
satisfy the reporting requirement under 
paragraph 7#b7 for such fiscal year1 the
 percentage specified in subsection     
7a77#g7 for amounts described in such   
subsection expended by such ,state      
during a calendar quarter described in  
paragraph 7#d7 with respect to such     
fiscal year1 subject to subparagraph    
7,b71 shall be reduced by the number of 
percentage points specified in paragraph
 7#d7 for the respective calendar       
quarter4  7,b7 ,exception ,in the case  
of a nonexpansion ,state that is subject
 to a reduction under subparagraph 7,a7 
for the calendar quarter described in   
paragraph 7#d77;,a7 with respect to a   
fiscal year1 if the ,state satisfies the
 criteria described in subparagraphs    
7,a71 7,b71 and 7,c7 of paragraph 7#b7  
7without regard to the dates specified  
in such subparagraph 7,a7 and 7,c77     

before the beginning of a subsequent    
calendar quarter described in paragraph 
7#d7 with respect to such fiscal year1  
then such ,state shall not be subject to
 a reduction under subparagraph 7,a7 for
 such subsequent calendar quarter4  7#b7
 ,reporting requirement ,for purposes of
 paragraph 7#a71 a nonexpansion ,state  
satisfies the reporting requirement     
under this paragraph for a fiscal year1 
if the nonexpansion ,state-- 7,a7 by not
 later than ,january #a of such year1   
posts on the public website of the      
,state agency administering the ,state  
plan1 the information described in      
paragraph 7#c7 with respect to such     
,state for the previous year2  7,b7     
provides for at least a #cj-;day period 
for notice and comment on such          
information2 and  7,c7 by not later than
 ,march #a of such year1 submits to the 
,secretary a complete report including  
such information1 comments submitted    
pursuant to subparagraph 7,b71 and a    
response by the ,state to each such     

comment4  7#c7 ,information described   
,the information described in this      
paragraph1 with respect to a ,state and 
year1 is the following3 7,a7 ,the       
estimated number of individuals who were
 uninsured for at least #f months1 shown
 by age-groups of #j to #ah years of age
 and of #ai years of age to #fd years of
 age1 as well as a detailed description 
of the basis for the estimates4  7,b7   
,the estimated number of the individuals
 estimated under subparagraph 7,a7 in   
the ,state who would be eligible for    
medical assistance under the ,state plan
 if the ,state were to make medical     
assistance under the ,state plan        
available in accordance with section    
#aijb7k77#a7 to all individuals         
described in section                    
#aijb7;a77#aj77;i77,,viii71 and a       
detailed description of the basis for   
the estimates4  7,c7 ,a comprehensive   
listing of ,state income eligibility    
criteria for all mandatory and optional 
,medicaid eligibility groups for which  

the ,state plan provides medical        
assistance 7other than with respect to  
individuals described in clause         
7i77,,ii71 7ii77,,vi71 or 7ii77,,xxii7  
of section #aijb7;a77#aj77;,a774  7,d7  
,the total amount of hospital           
uncompensated-care costs and a breakdown
 of the source of such costs1 as well as
 a breakdown for rural and non-rural    
hospitals4  7#d7 ,percentage described  
,for purposes of paragraph 7#a71 a      
calendar quarter described in this      
paragraph1 with respect to a fiscal     
year1 and the percentage points         
described in this paragraph for such    
quarter1 with respect to a ,state1 are--
 7,a7 for the calendar quarter beginning
 on the ,april #a occurring during such 
fiscal year1 #j4e percentage points2    
7,b7 for the calendar quarter beginning 
on the ,july #a occurring during such   
fiscal year1 #a4j percentage point2 and 
7,c7 for the calendar quarter beginning 
on the ,october #a occurring during the 
subsequent fiscal year1 #a4e percentage 

points4  7#e7 ,payment in case of       
reporting ,state ,the expenses incurred 
by a non-expansion ,state1 with respect 
to any calendar quarter with respect to 
a fiscal year 7beginning with #bjba71   
for carrying out subparagraphs 7,a7     
through 7,c7 of paragraph 7#b7 shall1   
for purposes of section #aijc7;a77#g71  
be considered to be expenses necessary  
for the proper and efficient            
administration of the ,state plan under 
this title4  7#f7 ,nonexpanion ,state   
defined ,for purposes of this           
subsection1 the term nonexpansion ,state
 means1 with respect to a fiscal year1 a
 ,state that as of the first quarter of 
such fiscal year does not provide under 
the ,state plan of such ,state 7or      
waiver of such plan7 for making medical 
assistance available in accordance with 
section #aijb7k77#a7 to all individuals 
described in section                    
#aijb7;a77#aj77;i77,,viii74  4